Individual
DAVID J MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP
Contact information
Practice address
4500 S LAKESHORE DR, SUITE 300, TEMPE, AZ 85282-7052
(480) 495-5685
Mailing address
4500 S LAKESHORE DR, SUITE 300, TEMPE, AZ 85282-7052
(480) 495-5685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3679
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
955619
—
AZ
Enumeration date
08/19/2006
Last updated
12/12/2016
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